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Referral Is Required When A PCP Refers A Pt To A Specialist While The Referral Also Known As Prior Authorization Is Approval From Insurance Plan For performance.

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Anonymous

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βˆ™ 4y ago
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βˆ™ 9mo ago

A referral is a recommendation from a primary care provider to see a specialist or receive specific services. An authorization is approval from an insurance company for medical services or procedures to be covered. In short, a referral directs you to a specific provider, while an authorization confirms payment coverage.

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Q: What is the difference between referral and authorization?
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